Provider Demographics
NPI:1417413014
Name:PATIENT PATHWAYS, LLC
Entity Type:Organization
Organization Name:PATIENT PATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER, KIDNEY CAR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:STAFFIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-876-6007
Mailing Address - Street 1:2001 16TH STREET
Mailing Address - Street 2:(CASA VIDA 18.30.1)
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202
Mailing Address - Country:US
Mailing Address - Phone:720-708-8334
Mailing Address - Fax:866-944-1696
Practice Address - Street 1:2001 16TH STREET
Practice Address - Street 2:(CASA VIDA 18.30.1)
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202
Practice Address - Country:US
Practice Address - Phone:720-708-8334
Practice Address - Fax:866-944-1696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty